| NPI | 1972798205 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0129165) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0910129382) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2021-03-24 |